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| ID | Type | Description | Link |
|---|---|---|---|
| IRAS ID: 365984 | Other Identifier | NHS Health Research Authority |
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A Qualitative Study to Explore the Barriers to Adoption of Clinical Decision Support Systems
Qualitative study looking at clinical decision support system adoption among clinicians in a district general hospital. This will involve semi-structured interviews of various clinical staff in the emergency department, looking at work-habits regarding clinical decision support tool use.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FY1/2 | Foundation Year 1 & 2 Doctors |
| |
| SHO | Senior House Officer level doctor above FY2 but below Registrar |
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| Registrar | Registrar level doctor |
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| Consultant | Consultant level doctor |
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| Physician Assistant | Physician Assistant clinician |
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| ACP | Advanced Clinical Practitioner |
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| CSW |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Semi-structured interview | Other | A 20-30 minute semi-structured interview using the pre-defined topic sheet |
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| Measure | Description | Time Frame |
|---|---|---|
| Saturation of Themes Related to Barriers to CDSS Adoption | The primary outcome examines the barriers to clinical decision support system adoption, such as hardware issues, governance concerns, user-interface problems, and trusted information. These themes will be examined during interviews with open-ended questions to allow user experiences to be recorded. This study will use purposive sampling with maximum variation to ensure representation across key categories of Emergency Department clinicians who use clinical decision support systems (CDSS). Participants will be selected to capture a range of roles and experiences, including Advanced Clinical Practitioners (ACPs), Physician Associates (PAs), Clinical Support Workers (CSWs), nurses, and doctors at different levels (Foundation Year 1-2, Senior House Officers, Registrars, and Consultants). Recruitment will continue until data saturation of themes related to CDSS adoption is achieved within and across these categories, anticipated at approximately one to two participants per role group. | The study ran between 10th January 2026 until 31 January 2026. The study was considered complete once all planned participant interviews have been conducted or recruitment has formally ceased following achievement of data saturation. |
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Inclusion Criteria:
Exclusion Criteria:
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Hospital clinicians employed by Medway NHS Foundation Trust
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medway NHS Foundation Trust | Gillingham | Kent | ME7 5NY | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34911719 | Background | Mebrahtu TF, Skyrme S, Randell R, Keenan AM, Bloor K, Yang H, Andre D, Ledward A, King H, Thompson C. Effects of computerised clinical decision support systems (CDSS) on nursing and allied health professional performance and patient outcomes: a systematic review of experimental and observational studies. BMJ Open. 2021 Dec 15;11(12):e053886. doi: 10.1136/bmjopen-2021-053886. | |
| 36690490 |
| Label | URL |
|---|---|
| 10 Year Health Plan for England (Department of Health and Social Care) | View source |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jan 6, 2026 | Feb 4, 2026 | Prot_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Jan 6, 2026 | Feb 4, 2026 | ICF_001.pdf |
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Clinical Support Worker
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| Nurse | Registered Nurse |
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| Background |
| Meunier PY, Raynaud C, Guimaraes E, Gueyffier F, Letrilliart L. Barriers and Facilitators to the Use of Clinical Decision Support Systems in Primary Care: A Mixed-Methods Systematic Review. Ann Fam Med. 2023 Jan-Feb;21(1):57-69. doi: 10.1370/afm.2908. |
| 35902894 | Background | Chen W, O'Bryan CM, Gorham G, Howard K, Balasubramanya B, Coffey P, Abeyaratne A, Cass A. Barriers and enablers to implementing and using clinical decision support systems for chronic diseases: a qualitative systematic review and meta-aggregation. Implement Sci Commun. 2022 Jul 28;3(1):81. doi: 10.1186/s43058-022-00326-x. |
| 28915822 | Background | Liberati EG, Ruggiero F, Galuppo L, Gorli M, Gonzalez-Lorenzo M, Maraldi M, Ruggieri P, Polo Friz H, Scaratti G, Kwag KH, Vespignani R, Moja L. What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. Implement Sci. 2017 Sep 15;12(1):113. doi: 10.1186/s13012-017-0644-2. |
| 32047862 | Background | Sutton RT, Pincock D, Baumgart DC, Sadowski DC, Fedorak RN, Kroeker KI. An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ Digit Med. 2020 Feb 6;3:17. doi: 10.1038/s41746-020-0221-y. eCollection 2020. |
| Independent Investigation of the NHS in England (Department of Health and Social Care) | View source |
| Supporting clinical decisions with health information technology: An implementation guide for clinical decision support systems (NHS England) | View source |